Physician
Triad Pediatric Eye Physicians PC
Triad Pediatric Eye Physicians PC was paid $703K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 20% of everything it billed.
33Billing provider infoTRIAD PEDIATRIC EYE PHYSICIANS PC
CLEMMONS, NC 27012
CLEMMONS, NC 27012
33aNPI1093234007assigned 09/12/2017
33bProvider typeOphthalmology Physician
28Total paid$703K
24GClaims18,851
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#14 of 118
Median peer was paid$22K
This provider vs. median32×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,008 | $85K | |
| 2019 | 2,432 | $111K | |
| 2020 | 2,799 | $102K | |
| 2021 | 2,877 | $111K | |
| 2022 | 2,710 | $107K | |
| 2023 | 3,514 | $103K | |
| 2024incomplete | 2,511 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 20% | 8,637 | 6,207 | $141K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,244 | 1,815 | $103K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 1,375 | 893 | $87K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,244 | 912 | $81K |
| 99243 | 9.7% | 919 | 702 | $68K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.7% | 1,199 | 816 | $54K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.6% | 599 | 523 | $54K |
| 92002 | 6.4% | 1,120 | 738 | $45K | |
| 92060 | 4.0% | 741 | 598 | $28K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.5% | 253 | 218 | $17K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 129 | 113 | $13K |
| 99242 | 1.5% | 170 | 137 | $10K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEIN, JENNIFER (PRACTICE MANAGER)